Reliability of Ultrasonic Hepatorenal Indices in Assessing Hepatic Steatosis: A Systematic Review and Meta‐Analysis
The accuracy of the ultrasound hepatorenal index (HRI) in diagnosing hepatic steatosis has varied significantly in different clinical trials. Therefore, we conducted a meta‐analysis aimed at exploring the diagnostic accuracy of ultrasound HRI in the quantitative assessment of hepatic steatosis. Thir...
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| Published in | Journal of clinical ultrasound |
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| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
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09.08.2025
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| Abstract | The accuracy of the ultrasound hepatorenal index (HRI) in diagnosing hepatic steatosis has varied significantly in different clinical trials. Therefore, we conducted a meta‐analysis aimed at exploring the diagnostic accuracy of ultrasound HRI in the quantitative assessment of hepatic steatosis. Thirteen eligible studies published up to May 3, 2025, were obtained through a comprehensive search. We conducted a meta‐analysis using a random‐effects bivariate model to investigate the diagnostic accuracy of the ultrasound HRI in assessing hepatic steatosis. A total of 1496 cases were included that used liver biopsy or MRI‐PDFF as the reference standard to determine the presence of hepatic steatosis. We synthesized the sensitivity, specificity, likelihood ratio, diagnostic advantage ratio, and area under the curve of the included studies to assess the performance of the HRI as a diagnostic tool. The meta‐analysis demonstrated that ultrasound HRI had good performance in evaluating hepatic steatosis. However, there were significant differences in diagnostic performance and optimal cut‐off values among the included studies, indicating the need for consensus on the optimal cut‐off value for diagnosing hepatic steatosis. As an auxiliary means of ultrasonic analysis, ultrasonic HRI has achieved a good diagnostic effect in detecting hepatic steatosis. |
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| AbstractList | The accuracy of the ultrasound hepatorenal index (HRI) in diagnosing hepatic steatosis has varied significantly in different clinical trials. Therefore, we conducted a meta-analysis aimed at exploring the diagnostic accuracy of ultrasound HRI in the quantitative assessment of hepatic steatosis. Thirteen eligible studies published up to May 3, 2025, were obtained through a comprehensive search. We conducted a meta-analysis using a random-effects bivariate model to investigate the diagnostic accuracy of the ultrasound HRI in assessing hepatic steatosis. A total of 1496 cases were included that used liver biopsy or MRI-PDFF as the reference standard to determine the presence of hepatic steatosis. We synthesized the sensitivity, specificity, likelihood ratio, diagnostic advantage ratio, and area under the curve of the included studies to assess the performance of the HRI as a diagnostic tool. The meta-analysis demonstrated that ultrasound HRI had good performance in evaluating hepatic steatosis. However, there were significant differences in diagnostic performance and optimal cut-off values among the included studies, indicating the need for consensus on the optimal cut-off value for diagnosing hepatic steatosis. As an auxiliary means of ultrasonic analysis, ultrasonic HRI has achieved a good diagnostic effect in detecting hepatic steatosis. The accuracy of the ultrasound hepatorenal index (HRI) in diagnosing hepatic steatosis has varied significantly in different clinical trials. Therefore, we conducted a meta-analysis aimed at exploring the diagnostic accuracy of ultrasound HRI in the quantitative assessment of hepatic steatosis. Thirteen eligible studies published up to May 3, 2025, were obtained through a comprehensive search. We conducted a meta-analysis using a random-effects bivariate model to investigate the diagnostic accuracy of the ultrasound HRI in assessing hepatic steatosis. A total of 1496 cases were included that used liver biopsy or MRI-PDFF as the reference standard to determine the presence of hepatic steatosis. We synthesized the sensitivity, specificity, likelihood ratio, diagnostic advantage ratio, and area under the curve of the included studies to assess the performance of the HRI as a diagnostic tool. The meta-analysis demonstrated that ultrasound HRI had good performance in evaluating hepatic steatosis. However, there were significant differences in diagnostic performance and optimal cut-off values among the included studies, indicating the need for consensus on the optimal cut-off value for diagnosing hepatic steatosis. As an auxiliary means of ultrasonic analysis, ultrasonic HRI has achieved a good diagnostic effect in detecting hepatic steatosis.The accuracy of the ultrasound hepatorenal index (HRI) in diagnosing hepatic steatosis has varied significantly in different clinical trials. Therefore, we conducted a meta-analysis aimed at exploring the diagnostic accuracy of ultrasound HRI in the quantitative assessment of hepatic steatosis. Thirteen eligible studies published up to May 3, 2025, were obtained through a comprehensive search. We conducted a meta-analysis using a random-effects bivariate model to investigate the diagnostic accuracy of the ultrasound HRI in assessing hepatic steatosis. A total of 1496 cases were included that used liver biopsy or MRI-PDFF as the reference standard to determine the presence of hepatic steatosis. We synthesized the sensitivity, specificity, likelihood ratio, diagnostic advantage ratio, and area under the curve of the included studies to assess the performance of the HRI as a diagnostic tool. The meta-analysis demonstrated that ultrasound HRI had good performance in evaluating hepatic steatosis. However, there were significant differences in diagnostic performance and optimal cut-off values among the included studies, indicating the need for consensus on the optimal cut-off value for diagnosing hepatic steatosis. As an auxiliary means of ultrasonic analysis, ultrasonic HRI has achieved a good diagnostic effect in detecting hepatic steatosis. |
| Author | Li, Jun Cao, Chun‐Li Li, WenXiao Zhai, Hong Wang, Jin‐Li Wang, Si‐Rui Tong, Jin Dong, Jian He, Ting‐Ting Yuan, Xiao‐Wu Du, Ting‐Ting |
| Author_xml | – sequence: 1 givenname: Jin‐Li orcidid: 0009-0008-3400-8920 surname: Wang fullname: Wang, Jin‐Li organization: Department of Ultrasound The First Affiliated Hospital of Shihezi University Shihezi China – sequence: 2 givenname: Jian surname: Dong fullname: Dong, Jian organization: Department of Ultrasound The First Affiliated Hospital of Shihezi University Shihezi China – sequence: 3 givenname: Si‐Rui orcidid: 0000-0003-1088-5335 surname: Wang fullname: Wang, Si‐Rui organization: Department of Ultrasound The First Affiliated Hospital of Shihezi University Shihezi China – sequence: 4 givenname: Chun‐Li surname: Cao fullname: Cao, Chun‐Li organization: Department of Ultrasound The First Affiliated Hospital of Shihezi University Shihezi China – sequence: 5 givenname: Jin surname: Tong fullname: Tong, Jin organization: Department of Ultrasound The First Affiliated Hospital of Shihezi University Shihezi China – sequence: 6 givenname: WenXiao surname: Li fullname: Li, WenXiao organization: Department of Ultrasound The First Affiliated Hospital of Shihezi University Shihezi China – sequence: 7 givenname: Ting‐Ting surname: Du fullname: Du, Ting‐Ting organization: Department of Ultrasound The First Affiliated Hospital of Shihezi University Shihezi China – sequence: 8 givenname: Ting‐Ting surname: He fullname: He, Ting‐Ting organization: Department of Physical Examination The First Affiliated Hospital of Shihezi University Shihezi China – sequence: 9 givenname: Xiao‐Wu surname: Yuan fullname: Yuan, Xiao‐Wu organization: Department of Ultrasound The First Affiliated Hospital of Shihezi University Shihezi China – sequence: 10 givenname: Jun surname: Li fullname: Li, Jun organization: Department of Ultrasound The First Affiliated Hospital of Shihezi University Shihezi China – sequence: 11 givenname: Hong surname: Zhai fullname: Zhai, Hong organization: Department of Abdominal Ultrasound Affiliated Hospital of Traditional Chinese Medicine, Xinjiang Medical University Xinjiang China |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40781913$$D View this record in MEDLINE/PubMed |
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| Snippet | The accuracy of the ultrasound hepatorenal index (HRI) in diagnosing hepatic steatosis has varied significantly in different clinical trials. Therefore, we... |
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| Title | Reliability of Ultrasonic Hepatorenal Indices in Assessing Hepatic Steatosis: A Systematic Review and Meta‐Analysis |
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